Tara Kopp Bastek in Raleigh - Neonatal-perinatal Medicine

Tara Kopp Bastek - NPI 1316956774

Tara Kopp Bastek is a Neonatal-perinatal Medicine in Raleigh, North Carolina. Tara Kopp Bastek practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Tara Kopp Bastek is 1316956774. The last update date is 2010-03-12.

Tara Kopp Bastek's current location address is 3000 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193508545 and fax number 9193508146. The mailing address for Tara Kopp Bastek is 3000 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara Kopp Bastek
Address 3000 New Bern Ave, Raleigh, North Carolina
Phone Number 9193508545
Fax Number 9193508146
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316956774
Provider Enumeration Date 2006-08-05
Last Updated Date 2010-03-12

Provider Mailing Address Detail

Address 3000 New Bern Ave
City Raleigh
State North Carolina (NC)
Post Code 276101231
Phone Number 9193508545
Fax Number 9193508146

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 9900162
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
891203C NC --

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FAQs about Tara Kopp Bastek

What is the unique identification code assigned to Tara Kopp Bastek by the Centers for Medicare & Medicaid Services?

The Tara Kopp Bastek has been issued the NPI (National Provider Identifier) 1316956774. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Tara Kopp Bastek located?

The Tara Kopp Bastek is located at 3000 New Bern Ave, Raleigh, NC 276101231.

What is Tara Kopp Bastek's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tara Kopp Bastek's area of specialization is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080N0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316956774 to Tara Kopp Bastek?

The Centers for Medicare & Medicaid Services assigned the 1316956774 to Tara Kopp Bastek on 2006-08-05.

As of what date were the details related to Tara Kopp Bastek most recently updated or revised?

The information pertaining to Tara Kopp Bastek, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-12.

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